Laserfiche WebLink
RECE9VED <br />PERMITTEE NAME: L.G. Everist, Inc. MAY ~ 3 2~~4 <br />PERMIT NO.: M-1999-120 Division of Minerals & Gaolagy <br />OPERATION NAME: Ft. Lupton Sand and Gravel Mine <br />ANNNER5ARY DATE: June 1, 2004 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br />According to C.R.S. 34-32.5-1 l6 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding yeaz-new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ym~r revised written annual report and anm~al report maw to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: . <br />Permittee Contact: Lynn Mayer <br />Permittee Name: L.G. Everist, loc. -(11 <br />Address: 7321 E. 88th Ave. Ste. 200 f3% <br />Henderson, CO 80640 (// <br />Phone Number: (303)287-4656 MI~I/~1 ~ ~((L~-I Nc ~jO3 Z~'b27~/7 <br />Fax Number: '-FSf1r~ ~3D3-Z3'9-/~~~' <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this farm along with your written report and map. Annual Report instructions are enclosed. <br />Signat~ of Corpo Officer, Owner, or Designee <br />D.s- -o ~ <br />Date <br />